Individual
AMANDA IVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ALC
Contact information
Practice address
100 CHASE PARK S STE 118, HOOVER, AL 35244-1800
(205) 530-8743
Mailing address
100 CHASE PARK S STE 118, HOOVER, AL 35244-1800
(205) 530-8743
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
ALC04594
AL
Other
Enumeration date
11/09/2023
Last updated
11/09/2023
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